Funds Ch 26
Which of the following statements about restraints used in the acute care setting is true?
A physician's order for use of a restraint is valid for 24 hours only.
A nurse is caring for older adult clients. Which of the following is the most important safety issue in older client's?
Accidental falls
An acronym RACE is commonly taught as a means for remembering priorities for action during a fire. The "A" is this acronym stands for?
Activate the fire code system and notify the appropriate person.
The nurse is caring for an adult client on prescribed bed rest who repeatedly attempts to get out of bed, despite instructions to remain there. Which of the following initial interventions is appropriate?
Assess the need to urinate
A home care nurse provides health education to parents regarding the care of their toddler. Which of the following precautions should the nurse suggest the parents take to protect the toddler from drowning?
Avoid unattended baths for the toddler
A boy 18 years of age is brought to the emergency department with a head injury. The nurse knows that adolescents are vulnerable to injuries related to which of the following?
Car accidents
An administrative assistant of a large factory visits the medical unit and tells the nurse she is having pain in the right wrist, numbness in the index finger, and decreased mobility of the right hand. The nurse suspects the client has what?
Carpal tunnel syndrome
A nurse is educating the family caregiver of an older adult client about measures to promote client safety in the home. Which of the following would be most appropriate to include?
Clear clutter from the stairways and walkways
The nurse caring for a client with smallpox would anticipate this client being on which type of precautions?
Contact
A school nurse is aware of poisoning risks in the adolescent population. Poisoning in this age group is most often related to which of the following?
Experimentation with drugs and inhalants
A child is learning to ride a bike. He should be instructed to use which of the following protective devices?
Helmet
A nurse is providing instructions to the mother of a toddler regarding the prevention of burn injuries in the toddler. Which of the following instructions is of the highest priority to the mother?
Keep coffee cups on the counter above the child's reach.
Which of the following topics should a public health nurse emphasize when educating older adults on reducing their risk of poisoning?
Keeping medications in clearly labeled containers
During a course on terrorism, a group of emergency room nurses learns about terrorists who use bombs or other explosives to inflict injury on numerous people and cause multiple fatalities. This is an example of what type of terrorism?
Mass trauma terrorism
A school nurse is providing information to a group of older adults during Fire Prevention Week. Which statement is correct regarding fires in the home?
Most people who die in a house fire die of smoke inhalation, rather than burns.
A nurse is caring for a client who is receiving an intravenous therapy through an IV pump. Which of the following interventions should the nurse implement to ensure electrical safety?
Obtain a three prong grounded plug adapter.
A client in a long term care facility has become increasingly unsteady. The nurses are worried that the client will climb out of bed and fall. Which of the following measures would be a high priority recommendation for this client?
Placing the client in a bed with a bed alarm
A nurse responds to the call bell and finds another nurse evacuating the client from the room, which has caught fire. Which of the following actions should the nurse take?
Pull the fire alarm
AN older adult client is planning to move with here son and daughter in law into a bigger apartment soon. The son asks the nurse for some tips to keep his mother safe. Which of the following would the nurse most likely include?
Put a small night light in the hall and the stairs
Which of the following should be included in an education plan for preventing falls in the home?
Remove clutter from walkways. Avoid climbing on a chair or table to reach items that are too high. Keep electrical and telephone cords against the wall and out of walkways. Consider the use of raised toilet seat. Use a nightlight.
A nurse smells smoke and subsequently discovers a fire in a garbage can in a common area on the hospital unit. What is the nurse's priority action in this situation?
Rescue anyone who is in immediate danger
A nurse finds that a fire has broken out in a client's room at the health care facility. Which of the following interventions is of he highest priority?
Rescue the client
A nurse is preparing discharge education for a client with a newborn baby. What is the highest priority item that must be included in the education plan?
Restrain the baby in a car seat
What generalization can be made about safety in client care?
Safety is a paramount concern underlying all nursing care
A nurse is preparing to file a safety event report after a client experienced a fall. The nurse is aware that which statement below is correct regarding the filing of a safety even report?
The nurse should record the incident in the client's medical record and fill out a safety event report separately
